Evaluation of the Patient With Joint Disease

Evaluation of the Patient With Joint Disease
Joint Pain - Differential Diagnosis
  • Post category:Rheumatology

Common Causes of Joint Disease include: Rheumatoid arthritis (RA) Osteoarthritis (OA) Gout Seronegative arthritides: ankylosing spondylitis, Reiter's syndrome, and psoriatic arthritis Septic arthritis

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Boerhaave Syndrome: Not all Life-threatening Chest Pain Involves the Heart and Lungs

Boerhaave Syndrome: Not all Life-threatening Chest Pain Involves the Heart and Lungs
Boerhaave Syndrome - Causes, Symptoms, Diagnosis, Treatment

Boerhaave syndrome is a spontaneous rupture of the esophagus. It usually results from barotrauma related to retching or any sudden increase in intraabdominal pressure against a closed glottis.

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Anticipate Bleeding and Reverse Coagulopathies in Liver Failure

Anticipate Bleeding and Reverse Coagulopathies in Liver Failure
Laboratory Abnormalities and Treatment of Coagulopathy in Liver Failure

Blood clotting in the setting of chronic liver disease is complex and may result in a net prothrombotic or antithrombotic state. Complicating this situation is the lack of accurate lab assays to measure the net thrombotic state in liver disease patients.

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Diuretics – An Overview

Diuretics – An Overview
Diuretics - Uses and Side Effects
  • Post category:Pharmacology

Diuretics (saluretics) elicit increased production of urine (diuresis). In the strict sense, the term is applied to drugs with a direct renal action. The predominant action of such agents is to augment urine excretion by inhibiting the reabsorption of NaCl and water.

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When an Appendicitis Doesn’t Follow the Rules

When an Appendicitis Doesn’t Follow the Rules
Appendicitis - Pathogenesis and Clinical Findings

Classic symptoms of appendicitis include pain that is initially vague and periumbilical followed by a more localized parietal pain in the right lower quadrant. Only 50% of people present with these classic symptoms; in the other 50%, appendicitis can be difficult to diagnosis.

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Approach to Polyuria and Polydipsia

Approach to Polyuria and Polydipsia
Algorithm for the investigation of the patient with polyuria and polydipsia

Polyuria is the passing of excessive volumes of urine. Urine output depends on fluid intake and body losses, and typically ranges from 1-3.5 L/day. Polydipsia, the ingestion of excessive volumes of fluid, is usually a consequence of polyuria.

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Pearls in Syncope ECG Interpretation

Pearls in Syncope ECG Interpretation
Abnormal Ecg Findings of Cardiac Syncope

In the ED patient with syncope, the ECG should be scrutinized for signs of ischemia, bradydysrhythmias, tachydysrhythmias, and conduction delays. Critical diagnoses to consider that can be detected with the ECG include: Brugada syndrome, Long or short QT syndromes ...

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